Active NPI
David Traynor, M.D.
- Internal Medicine Physician
- Huntsville, AL
National Provider Identifier
1942689765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36018
- Practice address
- 1102 Gleneagles Dr SW
Huntsville, AL 35801-6404 - Phone
- (256) 881-5880
- NPI assigned
- May 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36018 | AL | Primary |
Addresses
Primary practice location
1102 Gleneagles Dr SW
Huntsville, AL 35801-6404
Mailing address
1102 Gleneagles Dr SW
Huntsville, AL 35801-6404
Phone (256) 881-5880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36018 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Mountain Group Services, LLC | Current | Accepting new patients | |
| Oak Mountain Group Services, LLC | Current | Accepting new patients |
Locations
800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000
3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000
3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Birmingham, AL
- NPI 1366840761
-
- Physical Medicine & Rehabilitation Physician
- Vestavia Hills, AL
- NPI 1609321165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1942689765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 GLENEAGLES DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016404",
"telephone_number": "256-881-5880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 GLENEAGLES DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016404",
"telephone_number": "256-881-5880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAYNOR",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-26",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "36018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.